| NPI | 1871709543 |
|---|---|
| Doing Business As | MESQUITE VILLA |
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 001014264) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-03-04 |